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Poster 94 Minocycline as a Treatment Option in a Patient with Transverse Myelitis Who Developed Pulmonary Nocardiosis on Methylprednisolone: A Case Report
Author(s) -
Berri Maryam,
Meythaler Jay,
Baydoun Hassan
Publication year - 2015
Publication title -
pmandr
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.617
H-Index - 66
eISSN - 1934-1563
pISSN - 1934-1482
DOI - 10.1016/j.pmrj.2015.06.133
Subject(s) - medicine , minocycline , state (computer science) , library science , pediatrics , computer science , algorithm , microbiology and biotechnology , biology , antibiotics
increasing oral hydration, salt tablets, and precautions for orthostasis. Therapy included focus on repositioning to a recumbent position at symptom onset. Setting: Acute inpatient rehabilitation. Results or Clinical Course: The patient responded well to interventions. She experienced no further episodes and was discharged after 6 weeks. It was felt her presentation was most likely due to Postural Orthostatic Tachycardia Syndrome (POTS). Discussion: POTS is a type of orthostatic intolerance thought to be due to autonomic dysregulation characterized by a rise in heart rate > 30 beats/min and symptom onset upon upright positioning. To date, POTS is not well understood and there are no definitive treatments. This is the first reported case, to our knowledge, of POTS occurring after meningioma resection in a patient without a previous history of syncope. Conclusion: This case suggests a potential cause for POTS being central dysautonomia due to non-traumatic brain injury. This case specifically provides an alternative diagnosis for patients with seizurelike events and demonstrates a variety of non-pharmacologic interventions and special considerations for physiatrists caring for these patients.